MR. PAUL BAXTER SHORTER CRPA NPI 1366232415

NPI Information

  • NPI: 1366232415
  • Provider Name: MR. PAUL BAXTER SHORTER, CRPA
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 444 BROADWAY
    MENANDS, NY
    ZIP 12204
  • Phone: (518) 205-3111

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NPI Details

MR. Paul Baxter Shorter, CRPA is a peer specialist in Menands, NY. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MR. Paul Baxter Shorter, CRPA NPI is 1366232415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

444 BROADWAY
MENANDS, NY
ZIP 12204-887
Phone: (518) 205-3111
Fax: (518) 205-3111

The enumeration date for this NPI number is 5/12/2025 and was last updated on 5/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer Specialist7580NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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